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General NPI Number Information
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NPI Number | 1568299659
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Entity Type | Individual
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Provider Name | MIGUEL NUNEZ PHD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 36 CLINTON ST
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City | CONCORD
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State | NH
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Zip | 03301-2359
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Country | US
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Telephone | 603-271-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 502 W RIVER RD APT 85
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City | HOOKSETT
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State | NH
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Zip | 03106-1322
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Country | US
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Telephone | 806-928-3520
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 6847
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6847
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License Number State | NH
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